Individual provider Active NPI

William Jordan Brockway, MD

  • Urology Physician
  • Rogers, AR
National Provider Identifier
1346703832
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E-18732 Issued in AR
Practice address
3333 S Pinnacle Hills Pkwy Ste 300a
Rogers, AR 72758-9000
Phone
(479) 271-7077
Fax
(479) 271-7035
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X U6691 TX
Urology Physician 208800000X 2025004031 MO
Urology Physician 208800000X E-18732 AR Primary

Addresses

Primary practice location

3333 S Pinnacle Hills Pkwy Ste 300a
Rogers, AR 72758-9000

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (479) 271-7077

Other practice location 1

18915 Meisner Dr
San Antonio, TX 78258-4223
Phone (210) 499-5158

Other practice location 2

100 Mercy Way
Joplin, MO 64804-4524
Phone (865) 539-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, AR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240718001207 TX Practitioner - Urology 2062746126 Reassigns benefits to 1 organization
I20250512000791 MO Practitioner - Urology 2062746126 Reassigns benefits to 1 organization
I20250513003842 AR Practitioner - Urology 2062746126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-8455

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

3333 S Pinnacle Hills Pkwy
Suite 300B
Rogers, AR 72758-9000
Phone (479) 338-4600

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection23
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-18732ARMDUrology Physician
2025004031MOMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince May 9, 2025 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince May 9, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Dec 23, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Dec 23, 2024 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jun 2, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince May 9, 2025 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

3333 S Pinnacle Hills Pkwy
Ste 300B
Rogers, AR 72758
Phone (479) 338-4600

3333 S Pinnacle Hills Pkwy
Ste 300A
Rogers, AR 72758
Phone (479) 271-7077

100 Mercy Way
Ste 530
Joplin, MO 64804
Phone (417) 556-3828

100 Mercy Way
Ste 520
Joplin, MO 64804
Phone (417) 556-6876

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1965 S Fremont Ave
Ste 370
Springfield, MO 65804
Phone (417) 820-0300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1346703832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "479-271-7077",
            "fax_number": "479-271-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY STE 300A",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589000",
            "telephone_number": "479-271-7077",
            "fax_number": "479-271-7035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18915 Meisner Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584223",
            "country_code": "US",
            "telephone_number": "210-499-5158",
            "fax_number": "210-679-3730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Mercy Way",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044524",
            "country_code": "US",
            "telephone_number": "865-539-8040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKWAY",
        "first_name": "WILLIAM",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "U6691",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2025004031",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "E-18732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.